Healthcare Provider Details

I. General information

NPI: 1699834812
Provider Name (Legal Business Name): AMERICAN HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

173 S WINSTEAD AVE
ROCKY MOUNT NC
27804-3420
US

IV. Provider business mailing address

PO BOX 9005
ROCKY MOUNT NC
27804-7005
US

V. Phone/Fax

Practice location:
  • Phone: 252-972-4040
  • Fax: 252-972-4041
Mailing address:
  • Phone: 252-972-4040
  • Fax: 252-972-4041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberHC2524
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License NumberHC2524
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License NumberHC2524
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License NumberHC2524
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License NumberHC2524
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License NumberHC2524
License Number StateNC
# 7
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License NumberHC2524
License Number StateNC
# 8
Primary TaxonomyY
Taxonomy Code374700000X
TaxonomyTechnician
License NumberHC2524
License Number StateNC
# 9
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License NumberHC2524
License Number StateNC
# 10
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberHC2524
License Number StateNC
# 11
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberHC2524
License Number StateNC
# 12
Primary TaxonomyN
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License NumberHC2524
License Number StateNC
# 13
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License NumberHC2524
License Number StateNC

VIII. Authorized Official

Name: MS. SALLIE STROUD
Title or Position: DIRECTOR
Credential: R.N.
Phone: 252-972-4040